CROSSROADS MEDICAL GROUP, PLLC
NPI 1477303683
Clinic/Center - Rural Health in Portland, TN

Active since March 22, 2024CLIA 44D1057640 · Waiver
420 HIGHWAY 52 W, PORTLAND, TN 37148(615) 672-7122 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS MEDICAL GROUP, PLLC (NPI 1477303683) is a healthcare organization registered as a rural health in Portland, Tennessee and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Danielle Smiley, Rcm, as its authorized official.

NPPES Registry Identity

NPI1477303683
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCROSSROADS MEDICAL GROUP, PLLC
Location Address420 HIGHWAY 52 WPortland, TN 37148-1465
Mailing AddressPo Box 306501Nashville, TN 37230-6501
Organization SubpartNo
Authorized OfficialDanielle SmileyRcm · (828) 735-2822
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
NPI 1477303683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
420 HIGHWAY 52 W, Portland, TN 37148

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1057640

Crossroads Medical Group PLLC · Portland, TN
Active · expires Aug 16, 2026
CLIA Number44D1057640
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorScott Jordan
Laboratory Phone(615) 325-2226
Laboratory LocationCrossroads Medical Group PLLC420 Highway 52 W, Portland, TN 37148
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
420 HIGHWAY 52 W
PORTLAND, TN 37148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Medical Group, PLLC's NPI number?

The NPI number for Crossroads Medical Group, PLLC is 1477303683. It was assigned to this organization in the NPPES registry on March 22, 2024.

Where is Crossroads Medical Group, PLLC located?

Crossroads Medical Group, PLLC is located at 420 Highway 52 W, Portland, TN 37148. The listed phone number is (615) 672-7122.

What is Crossroads Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Crossroads Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1057640) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossroads Medical Group, PLLC was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.